22D2011968 CLIA NUMBER - SAVIDA HEALTH PC

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Laboratory Demographics

CLIA Number: 22D2011968

Facility Name: SAVIDA HEALTH PC

Facility Address:
12 DALLAIRE AVE
CHICOPEE, MA
ZIP 01020
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Facility Phone Number: 413 236-9100

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1316253875

Taxonomy: 207RA0401X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

CLIA Record

Field Name	Field Value
CLIA Number	22D2011968
LAB Type	Physician Office
Facility Name	SAVIDA HEALTH PC
Street	12 DALLAIRE AVE
City	CHICOPEE
State	MA
ZIP	01020
Phone	413 236-9100
CertificateType	2
CertificateEffectiveDate	7/18/2023
CertificateExpirationDate	7/17/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024